SRINIVAS PRASAD R JOLEPALEM MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

INOPERATIVE

Business

Title

First Name

SRINIVAS PRASAD

Middle

Last Name

JOLEPALEM

Business Name

SRINIVAS PRASAD R JOLEPALEM MD

Original Issue Date

05/14/2009

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

DARIEN

State

Zip

60561

County

COOK

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

04/07/2023